Organization
BURKE COLLINS THERAPY, INC.
Active
Other names
Back To Work Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CARLETON BURKE COLLINS MS (CLINIC DIRECTOR)
(813) 253-3092
Entity
Organization
Contact information
Practice address
5968 CLARK CENTER AVE, SARASOTA, FL 34238-2715
(813) 253-3092
(813) 259-9516
Mailing address
PO BOX 3147, TAMPA, FL 33601-3147
(813) 253-3092
(813) 259-9516
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
68-6650
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68-6650
OUTPATIENT REHABILITATION FACILITY
FL
01
—
RT1
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/28/2015
Last updated
01/28/2015
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